Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Miller, PA

Individual provider Physician Assistant · NPI 1811289259

Amanda Miller, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2010, 16 years ago. Practices with Dawm, PLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

655 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-8622
Phone: (616) 949-5600
Fax: (616) 949-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005922 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 5601005922 (MI)

Record details

NPI number1811289259
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2011
Last updated in NPPESAugust 8, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Dawm, Plc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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